Getting Rid of Acne Scars for Good

Anne Marie McNeill, MD, PhD, is a board-certified dermatologist with a PhD in pharmacology. Her practice is located in Orange County, CA. This blog discusses Acne Scarring, and what you can do about it. Check out Anne’s other blogs at Your Dermatologist.

What causes Acne Scarring?

Dr. McNeill: Picking!!!! No matter how much acne, or how large acne cysts become, they will not cause scarring if left untouched. The skin may hyperpigment and become darker for a while, but this hyperpigmentation will not be permanent. Picking at acne can cause scars that are permanent. Take Care to lessen hyperpigmentation with a hat.

Sometimes, patients will have cysts injected with cortisone to get rid of them, is it possible to cause scarring with the needle used? Also, what about facials? Some aestheticians perform extractions with small utensils and lancets, can this lead to scarring?

Dr. McNeill: The needle is smaller than the opening of a pore; I have never seen scarring from a cyst injection. The best way to do extractions is with a comedone extractor, they can be purchased at most drugstores, for example Tweezerman makes a good one. Steam your skin in the shower, clean the extractor with alcohol, place the loop in the extractor over the blemish, and push lightly. If nothing comes out, then give up and try again the next day. No digging at them!

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Doctors have long adopted Benjamin Franklin’s famous saying, “An ounce of prevention is worth a pound of cure.” This seems particularly true of acne, if you do not get it, you cannot pick at it, and there will be no scars.

Dr. McNeill: ABSOLUTELY! Properly treated, acne will subside long before the appearance of permanent scars. Learn about preventing acne here. And, treatment for acne is covered by most health insurance plans. Treatment for acne scarring, however is not. So, definitely stop acne before it leads to scarring. Need dermatology on your health insurance plan? Get a quote now.

Alright, but for those that do have scars, what are their options?

Dr McNeill: There are 3 main treatments that are recommended.

1) TCA-CROSS, which stands for Trichloracetic Acid (TCA) and Chemical Reconstruction Of Skin Scars (CROSS). The treatment is a very strong acid applied by a board certified dermatologist monthly for three or four treatments. The physician will use a Qtip like device to place the acid on each scar, and it makes each scar less deep. This treatment works best on pitted or “ice-pick” scars that tend to be the deepest. TCA-CROSS treatment prices vary, but generally run about $250 per session. This treatment is thought to be the most effective treatment for ice-pick scars

There will be some mild scabbing after each treatment, in localized patches. NO PICKING at the scabs!

2) Derma Roller – this is a tool that looks bit like a pizza cutter, with tiny needles on it. The roller is moved over the scars, to “pound out” or smooth scarring, as well as stimulate collagen, which will reverse the scarring. This procedure works best on scars that are more shallow and are sometimes called “box car” scars. Costs range, but are somewhere run about $650 per treatment, with at least 3 treatments necessary.

3) Fractionated CO2 Laser Treatment – This is an aggressive laser treatment that works best on very shallow acne scars. The laser “resurfaces” the face. There is just one treatment, and costs range from $4200-$5000.

Skin will be red and swollen for up to a couple of weeks, and patients need to plan on at least a week off of work. The treatment is not recommended for dark complexions.

There are websites, beauty salons and beauty supply stores that sell some of these treatments, or versions of them, are they safe and effective?

Dr. McNeill: I would not recommend any ‘home’ version of products for scarring. In order to treat scarring, we are being very aggressive and there is always a risk of further scarring if these procedures are done improperly.

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    Getting Rid of Acne Scars for Good – – Health Insurance Information for Individuals, Families | – Health Insurance Information for Individuals, Families

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